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sw4 N Y's,E <br /> 4' t____,,{ }`- ,r ANTI - KICKBACK <br /> City of Sunny Isles Beach <br /> • 18070 Collins Avenue <br /> %e l''•F L o 4- Sunny Isles Beach,FL 33160 <br /> c'''o, sus'`'o Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ANTI-KICKBACK AFFIDAVIT <br /> STATE OF FLORIDA ) <br /> COUNTY OF Broward ) <br /> • <br /> I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid <br /> will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a <br /> commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or <br /> by an officer of the corporation. <br /> By: --' ....,s �� <br /> Title: CEO <br /> The foregoing instrument was acknowledged before me this 7) day of <br /> �e-Virt149,r , 20 17 , by Andrea Gearu [name <br /> of person], as C6 0 [type of authority], for <br /> cow,,N,.,, rc Ki c4 Co4re 4-eY 1 [name of party on behalf of whom instrument was <br /> executed]. <br /> AFFIX NOTARY STAMP HERE: / <br /> •1. . r. R•lic — State of Florida <br /> lofelli.,. DAVID SALDARRIAGA r <br /> 1-•44 *ft: MY COMMISS1014 R FF247231 <br /> 40 <br /> EXPIRES.MIyV.201• TP•vkfl SPrIA)Ne-1 M I <br /> t.37 iii 0153 norkheicitsefavvIce Ago Print or Type Commissioned Name <br /> Personally Known X OR Produced Identification <br /> Type of Identification Produced <br /> DECEMBER 28,2010 7 of 10 <br />